| NPI | 1477730737 |
|---|---|
| Doing Business As | SAN YSIDRO HEALTH CHILDREN'S DENTAL CENTER AT RADY CHILDREN'S HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | KEVIN MATTSON President And CEO 619-662-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 550000692) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2018-11-06 |